<#include "../../select.ftl" />
<div class="row">
<#--<div class="form-group col-md-4">
    <label class="col-sm-4 control-label"></label>
    <div class="col-sm-8">
        <input name="id" value="${ykOrder.id!''}" type="text" class="form-control"/>
    </div>
</div>-->
<#--<div class="form-group col-md-4">
    <label class="col-sm-4 control-label">订单id</label>
    <div class="col-sm-8">
        <input name="billId" value="${ykOrder.billId!''}" type="text" class="form-control"/>
    </div>
</div>-->
    <div class="form-group col-md-4" style="display: none">
        <label class="col-sm-4 control-label">客户编号</label>

        <div class="col-sm-8">
            <input name="userId" value="${ykOrder.userId!''}" type="text" class="form-control"/>
        </div>
    </div>
    <div class="form-group col-md-4">
        <label class="col-sm-4 control-label">身份证</label>

        <div class="col-sm-8">
            <input name="staffId" value="${ykOrder.staffId!''}" type="text" class="form-control"
                     onblur="funChoose(this.value)"/>
        </div>
    </div>
    <div class="form-group col-md-4">
        <label class="col-sm-4 control-label">卡号</label>

        <div class="col-sm-8">
            <input name="cardId" value="${ykOrder.cardId!''}" type="text" class="form-control"/>
        </div>
    </div>
    <div class="form-group col-md-4">
        <label class="col-sm-4 control-label">客户姓名</label>

        <div class="col-sm-8">
            <input name="customerName" value="${ykOrder.customerName!''}" type="text" class="form-control"/>
        </div>
    </div>
    <div class="form-group col-md-4">
        <label class="col-sm-4 control-label">电话</label>

        <div class="col-sm-8">
            <input name="phone" value="${ykOrder.phone!''}" type="text" class="form-control"/>
        </div>
    </div>
    <div class="form-group col-md-4">
        <label class="col-sm-4 control-label">年龄</label>

        <div class="col-sm-8">
            <input name="age" value="${ykOrder.age!''}" type="text" class="form-control"/>
        </div>
    </div>
    <div class="form-group col-md-4">
        <label class="col-sm-4 control-label">性别</label>

        <div class="col-sm-8">
        <@select name="sex" value="${ykOrder.sex!''}" list=sexTypeList class="form-control"/>
        <#--<input name="sex" value="${ykOrder.sex!''}" type="text" class="form-control"/>-->
        </div>
    </div>
    <div class="form-group col-md-4">
        <label class="col-sm-4 control-label">地址</label>

        <div class="col-sm-8">
            <input name="address" value="${ykOrder.address!''}" type="text" class="form-control"/>
        </div>
    </div>
    <div class="form-group col-md-4">
        <label class="col-sm-4 control-label">预约号</label>

        <div class="col-sm-8">
            <input name="recordNo" value="${ykOrder.recordNo!''}" type="text" class="form-control"/>
        </div>
    </div>
    <div class="form-group col-md-4" style="display: none">
        <label class="col-sm-4 control-label"></label>

        <div class="col-sm-8">
            <input name="spareA" value="${ykOrder.spareA!''}" type="text" class="form-control"/>
        </div>
    </div>
</div>